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目的探讨LEEP刀环切术和锥切术治疗宫颈上皮内瘤样病变的临床价值。方法将270例宫颈上皮内瘤样病变(CIN)患者随机分为两组,A组行高频电波(LEEP)刀环切术,B组高频电波(LEEP)刀锥切术,观察两组手术时间、术中出血量、脱痂期出血量、切口愈合时间。结果 A组CINI一Ⅲ级患者手术时闻短于B组(P<0.05),Ⅰ、Ⅱ级患者术中出血量少于B组,P均<0,05;两组脱痂期出血、愈合时间元显著差异。结论对于CINI、Ⅱ级患者,LEEP刀环切术优于锥切术;而LEEP刀锥切术适用于CINⅢ级患者。
Objective To investigate the clinical value of LEEP circumcision and conization in the treatment of cervical intraepithelial neoplasia. Methods A total of 270 patients with cervical intraepithelial neoplasia (CIN) were randomly divided into two groups. Group A was treated by high frequency electric wave (LEEP) and group B with high frequency electric wave (LEEP) Operation time, intraoperative blood loss, bleeding during scalping, incision healing time. Results The CINI-Ⅲ patients in group A were shorter than those in group B at operation (P <0.05). The bleeding volume in group Ⅰ and Ⅱ was less than that in group B (all P <0.05). The bleeding, healing The time element is significantly different. Conclusions For patients with CINI and grade Ⅱ, LEEP circumcision is better than conization, while LEEP knife conization is suitable for CIN Ⅲ patients.